Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Deborah M. Johansen, LPC, CLINICALSUP

Individual provider Professional Counselor · NPI 1417409483

MS. Deborah M. Johansen, LPC, CLINICALSUP is a Mental Health Counselor in Mesa, Arizona. Qualified in 2008, 18 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Years since qualifying
18
Licensed in
AZ
In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4111 E Valley Auto Dr Ste 201
Mesa, AZ 85206-4609
Phone: (480) 608-5250
Fax: (480) 608-5251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14325 E Buffalo St, Gilbert, AZ 85295-5907 — (480) 608-5250

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 14026 (AZ)

Record details

NPI number1417409483
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CLINICALSUP
Sole proprietorYes
NPI enumeratedOctober 26, 2016
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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